Watchful waiting is an appropriate approach for treating children under certain conditions base on the article“Clinical Practice Guideline”. This article gives the evidence-based statement that allowing 48-72 hours before prescribing antibiotics is an option to be considered by clinicians. Included in this study are children up to age 12. The observation option applies to the children greater than age 2, without other chronic illnesses or anatomic abnormalities. The recommendation was based on placebo controlled trails that spanned 30 years. This article includes results the AHRQ evidence-report, the Dutch College of General Practitioners guidelines, and a randomized trial in the United Kingdom as part of the evidence in making the recommending. In conclusion it is imperative to ascertain the history of acute onset, to identify